| NPI | 1013307370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN FLEMING COO/Clinical Director 917-364-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00510200) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |